The Push and Pull of Nostalgia: Sentimental Longing in a Fundamental Component of the Behavior Change Process

Abstract: Behavior change is hard, and the recovery process is equally as challenging. Yet a paucity of research has been conducted on factors that motivated and undermine sustained behavior change. In this talk, we will discuss a growing body of work that suggests nostalgic reverie (i.e., sentimental longing) is a critical factor in both the behavior change and recovery process among people living with a gambling disorder. First, we will report the results of research (Study 1) that demonstrates nostalgic reverie for life before one’s problematic gambling behaviour facilitates behaviour change. We will then report the results of new research (three studies) that demonstrates the potential dark side of nostalgia among people in recovery from a gambling disorder (as well as those living with an eating disorder). Specifically, we show that among people in recovery from an eating disorder (Study 2) and disordered gambling (Study 3) who are nostalgic for the perceived benefits of their disorder (e.g., the excitement of winning) felt they were less (subjective) advanced in their recovery process. Among those living with a gambling disorder, we also showed that optimism about their recovery process interacted with nostalgia to create ambivalence about their recovery. Implications: This program of research suggests there are both basic and applied implications of nostalgic reverie (and its content) that both researchers and treatment providers need to take into consideration when trying to understand and facilitate sustained behavior change

Reducing energy demand through low carbon innovation: a sociotechnical transitions perspective and thirteen research debates

Improvements in energy efficiency and reductions in energy demand are expected to contribute more than half of the reduction in global carbon emissions over the next few decades. These unprecedented reductions require transformations in the systems that provide energy services. However, the dominant analytical perspectives, grounded in neoclassical economics and social psychology, focus upon marginal changes and provide only limited guidance on how such transformations may occur and how they can be shaped. We argue that a socio-technical transitions perspective is more suited to address the complexity of the challenges involved. This perspective understands energy services as being provided through large-scale, capital intensive and long-lived infrastructures that co-evolve with technologies, institutions, skills, knowledge and behaviours to create broader ‘sociotechnical systems’. To provide guidance for research in this area, this paper identifies and describes thirteen debates in socio-technical transitions research, organized under the headings of emergence, diffusion and impact, as well as more synthetic cross-cutting issues

Suspended timber ground floors: heat loss reduction potential of insulation interventions

There are approximately 10 million suspended timber ground floor constructions in the UK and millions more globally. However, it is unknown how many of these floors are insulated and their performance has not been widely investigated. This study investigates the impact of retrofitting insulation on the thermal performance of suspended timber ground floors through the detailed investigation of a UK case study dwelling. Practical and buildable interventions were undertaken: fully-filling the floor void with EPS beads, and 100mm woodfibre insulation between the joists. The performance of both interventions was monitored by high-resolution in-situ heat-flow monitoring in 27 floor locations, allowing for comparison with the uninsulated floor and with modelled results. While floors often remain uninsulated due to the disruption of retrospective works, this study highlighted potentially significant heat loss reductions: the mean whole floor U-value dropped by 65% for woodfibre insulation and 92% for bead-insulation which also benefited from sealed airbricks. A disparity between the in-situ measured and modelled performance was observed; this gap reduced the better insulated the floor was. The findings have implications for policy, retrofit decision-making and carbon emission reduction stock models, especially given the modelled underestimation of floor heat loss, impact of interventions and assumed financial payback for this study

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

The Long Shadow of Addiction-Related Nostalgia: Nostalgia Predicts Ambivalence and Undermines the Benefits of Optimism in Recovery

Background: Previous research has shown that nostalgia for the pre-addicted self can motivate people living with addiction to engage in behavior change. Objective: Herein, we explored nostalgia for the addictive behavior—labeled addiction-related nostalgia (ARN)—among people in recovery from engaging in addictive behavior. We tested the novel idea that ARN is positively associated with ambivalence about recovery. We also hypothesized that ARN may counteract the positive influence of optimism on individuals’ commitment to recovery. Results: In two studies involving individuals in recovery from a gambling (Study 1; N=301) or alcohol use disorder (Study 2; N=604), ARN was linked to increased ambivalence about recovery, while optimism was associated with decreased ambivalence. As expected, the interaction between optimism and ARN revealed that nostalgia either eliminated (Study 1) or reduced (Study 2) the negative relation between optimism and ambivalence. Conclusions: These findings underscore the challenges posed by ARN in the recovery process and emphasize the importance of interventions that address and mitigate its impact while considering the moderating role of optimism.</p

The utility of nostalgia for unhealthy populations: a systematic review and narrative analysis

Nostalgic reverie (i.e., sentimental longing) has received increased attention as a predictor of health and well-being, but only a handful of reviews have summarised this literature. The available reviews left a critical gap in explicating the function of nostalgia among people engaged in unhealthy behaviour. In the current systematic review and narrative analysis, we sought to answer whether and under what conditions the emotion serves to help or hinder people engaged in unhealthy behaviours in terms of taking action to change. We identified 14 studies and categorised them into two themes. In Theme I, nostalgising about a time in one’s life when one was healthier motivated both readiness to change and action to change unhealthy behaviour. In Theme II, nostalgising about the perceived benefits of engaging in the unhealthy behaviour (e.g., social connectedness related to drinking) was associated with continuance or acceleration of the unhealthy behaviour. This review highlights not only the presence of a link between nostalgia and unhealthy behaviour, but also that the content of one’s nostalgising matters for understanding whether the unhealthy behaviour is undermined or bolstered